摘要
报告75例腹部脓肿细菌培养和药敏试验结果。63例培养阳性,阳性率为84.0%,其中厌氧菌百分比为85.7%,需氧菌和厌氧菌混合感染为71.4%;共检出细菌159株,包括需氧菌64株、厌氧菌95林,其中以大肠杆菌和脆弱群拟杆菌为最多见。提示厌氧菌感染在腹部脓肿中占有重要地位,需氧菌和厌氧菌的混合感染是其特点之一。在抗生素选用上,应以丁胺卡那霉素或庆大霉素与甲硝唑合用为首选。
Findings from a bacteriological study of 75 patients with intra-abdomi abscess are presented. Among 63 specimens that yielded positive cultures, anaerobic bacteria were found present in 54 (85.7 percent) and mixed aerobic and anaerobic flora in 45 (71.4 percent). A total of 159 bacterial isolates were recovered (2.5 per specimen), including 64 aerobes and 95 anaerobes. The predominant aerobes and anaerobes were E. coli and the B. fragilis groups. This indicates that anaerobic infection plays an important role in inducing intra-abdominal abscess, and polymicrobial (aerobic and anaerobic) infection was one of the characteristics of the disease. This study shows that amikarin or gentamicin and metronidazole are the drugs of first choice in the treatment of intra-abdominal abscess;
出处
《青岛医学院学报》
1991年第4期323-326,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
脓肿
腹部
细菌学
需氧
厌氧
abscess
abdomen
bacteria, aerobic
bacteria, anaerobic
bacteriological technics
